Indian Journal of Neurotrauma 2012; 09(01): 70-71
DOI: 10.1016/j.ijnt.2012.04.004
Images in neurotrauma
Thieme Medical and Scientific Publishers Private Ltd.

Successful treatment of chronic subdural haematoma after epidural anaesthesia for labour

Juan F. Martín-Lázaro
a  Intensive Care Unit, University Clinical Hospital Lozano Blesa, Zaragoza, Spain
,
Olmos Eduardo
b  Neurosurgery Department, University Clinical Hospital Lozano Blesa, Zaragoza, Spain
,
Belén Jiménez
a  Intensive Care Unit, University Clinical Hospital Lozano Blesa, Zaragoza, Spain
,
María Asunción Navarro
a  Intensive Care Unit, University Clinical Hospital Lozano Blesa, Zaragoza, Spain
,
Juan Bosco Calatayud
b  Neurosurgery Department, University Clinical Hospital Lozano Blesa, Zaragoza, Spain
› Author Affiliations

Subject Editor:
Further Information

Publication History

22 February 2012

25 March 2012

Publication Date:
05 April 2017 (online)

Abstract

We report on a successful treatment for a very infrequent chronic subdural haematoma after epidural anaesthesia for labour. Our patient presented at the Emergency Department in her 35th day post-partum and, the urgent cranial scan showed a chronic subdural left hemispheric haematoma of 15.8 mm with displacement of middle line and herniation of 14 mm. Chronic subdural haematoma following epidural anaesthesia can occur after 3 to 7 weeks following epidural anaesthesia, and it should be considered even if no complications in the procedure were observed. If haematoma is under 5 mm, without other acute signs, conservative treatment is recommended. Programmed neurosurgery should be performed if haematoma is greater than 5 mm; but if rapid deterioration, urgent neurosurgery must be performed as soon as possible to avoid irreversible damage.